Introduction

This profile is used to represent de-identified diagnosis information. The de-identification process has to remove all data elements not explicitly identified as "SUPPORTED" in the profile.

The HHS De-identification Guidance is to be followed to ensure appropriate level of de-identification is performed.

According to the HHS guidance, dates should not have a precision of more than the year. This means month and day cannot be included. This includes diagnosis dates, visit dates, onset dates etc.

In FHIR Resources, text elements and reference.display elements which provide human readable information to the providers may be generated using programs and tools from the data present within the resource. For e.g a Condition resource text element may contain information such as the visit date, onset date. This type of information will enable identification of the individuals. In order to avoid inadvertent revealing of PII/PHI, text elements cannot be included in the De-identified FHIR resource and the submission will be rejected when text elements are present by the validation process.

Ids and References

The original Condition resource id should not be included in the De-identified condition instance. Instead a new id should be created and provided as part of the FHIR resource. This Data Submitter should be capable of using the generated id to relink the data to the original Condition. All resource references to the Condition submitted as part of the UDS+ report should refer to newly generated id.

Resource references cannot contain text element as it may contain PHI/PII. The text element for following references are not allowed

• subject
• encounter

Date Truncation

The Data Submitter has to truncate the following dates to only have a precision of year

• onsetDate
• abatementDate
• recordedDate

Examples

Examples of identifiable data and its corresponding de-identifiable data is present in Reporting Guidance.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	Condition	De-Identified UDS Plus Diagnosis Constraints: con-3, con-4, con-5
Condition.id	S This element must be supported. Σ This element is included in summaries.	0..1	id	The de-identified Condition identifier created by the health center to send data to UDS+ Data Receiver
Condition.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Condition.Slices for extension				Content/Rules for all slices
Condition.Slices for extension.extension:uds-plus-age-extension	S This element must be supported.	0..1	Quantity	Age of the Patient computed using birthDate. URL: http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-age-extension
Condition.Slices for extension.extension:assertedDate	S This element must be supported. C	0..1	dateTime	Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate Constraints: uds-plus-diag-1, uds-plus-diag-1a, uds-plus-diag-1b
Condition.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Condition.clinicalStatus	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries. C	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
Condition.verificationStatus	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries. C	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
Condition.category	S This element must be supported.	1..1	CodeableConcept	problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
Condition.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: US Core Condition Codes (extensible): The set of codes indicating the diagnosis
Condition.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(De-Identified UDS Plus Patient)	Who has the condition?
Condition.encounter	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(De-Identified UDS Plus Encounter)	Encounter created as part of
Condition.onset[x]	S This element must be supported. Σ This element is included in summaries. C	0..1		Estimated or actual date, date-time, or age Constraints: uds-plus-diag-2, uds-plus-diag-2a, uds-plus-diag-2b, uds-plus-diag-3, uds-plus-diag-3a, uds-plus-diag-3b, uds-plus-diag-4, uds-plus-diag-4a, uds-plus-diag-4b
Condition.onset[x].onsetDateTime			dateTime S This target must be supported.
Condition.onset[x].onsetPeriod			Period
Condition.abatement[x]	S This element must be supported. C	0..1		When in resolution/remission Constraints: uds-plus-diag-5, uds-plus-diag-5a, uds-plus-diag-5b, uds-plus-diag-6, uds-plus-diag-6a, uds-plus-diag-6b, uds-plus-diag-7, uds-plus-diag-7a, uds-plus-diag-7b
Condition.abatement[x].abatementDateTime			dateTime
Condition.abatement[x].abatementPeriod			Period
Condition.recordedDate	S This element must be supported. Σ This element is included in summaries. C	0..1	dateTime	Date record was first recorded Constraints: uds-plus-diag-8, uds-plus-diag-8a, uds-plus-diag-8b
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Condition.clinicalStatus	Base	required	Condition Clinical Status Codes	📍4.0.1	FHIR Std.
Condition.verificationStatus	Base	required	ConditionVerificationStatus	📍4.0.1	FHIR Std.
Condition.category	Base	extensible	Condition Category Codes	📍4.0.1	FHIR Std.
Condition.code	Base	extensible	US Core Condition Codes	📦6.1.0	US Core v6.1

Constraints

Id	Grade	Path(s)	Description	Expression
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item	clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission	abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error	verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Condition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Condition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
uds-plus-diag-1	error	Condition.extension:assertedDate	All dateTime data elements should be truncated to a year only for de-identified resources.	$this.value.ofType(dateTime) implies $this.value.ofType(dateTime).toString().length() = 4
uds-plus-diag-1a	error	Condition.extension:assertedDate	All dateTime data elements should have valid year > 1900	$this.value.ofType(dateTime) implies $this.value.ofType(dateTime).toString() >= '1900'
uds-plus-diag-1b	error	Condition.extension:assertedDate	All dateTime data elements should have valid year < 2030	$this.value.ofType(dateTime) implies $this.value.ofType(dateTime).toString() <= '2030'
uds-plus-diag-2	error	Condition.onset[x]	All dateTime data elements should be truncated to a year only for de-identified resources.	$this is DateTime implies $this.toString().length() = 4
uds-plus-diag-2a	error	Condition.onset[x]	All dateTime data elements should have valid year > 1900	$this is DateTime implies $this.toString() >= '1900'
uds-plus-diag-2b	error	Condition.onset[x]	All dateTime data elements should have valid year < 2030	$this is DateTime implies $this.toString() <= '2030'
uds-plus-diag-3	error	Condition.onset[x]	All Period.start data elements should be truncated to a year only for de-identified resources.	$this is Period and Period.start.exists() implies $this.start.toString().length() = 4
uds-plus-diag-3a	error	Condition.onset[x]	All Period.start data elements should have valid year > 1900	$this is Period and Period.start.exists() implies $this.start.toString() >= '1900'
uds-plus-diag-3b	error	Condition.onset[x]	All Period.start data elements should have valid year < 2030	$this is Period and Period.start.exists() implies $this.start.toString() <= '2030'
uds-plus-diag-4	error	Condition.onset[x]	All Period.emd data elements should be truncated to a year only for de-identified resources.	$this is Period and Period.end.exists() implies $this.end.toString().length() = 4
uds-plus-diag-4a	error	Condition.onset[x]	All Period.start data elements should have valid year > 1900	$this is Period and Period.end.exists() implies $this.end.toString() >= '1900'
uds-plus-diag-4b	error	Condition.onset[x]	All Period.start data elements should have valid year < 2030	$this is Period and Period.end.exists() implies $this.end.toString() <= '2030'
uds-plus-diag-5	error	Condition.abatement[x]	All dateTime data elements should be truncated to a year only for de-identified resources.	$this is DateTime implies $this.toString().length() = 4
uds-plus-diag-5a	error	Condition.abatement[x]	All dateTime data elements should have valid year > 1900	$this is DateTime implies $this.toString() >= '1900'
uds-plus-diag-5b	error	Condition.abatement[x]	All dateTime data elements should have valid year < 2030	$this is DateTime implies $this.toString() <= '2030'
uds-plus-diag-6	error	Condition.abatement[x]	All Period.start data elements should be truncated to a year only for de-identified resources.	$this is Period and Period.start.exists() implies $this.start.toString().length() = 4
uds-plus-diag-6a	error	Condition.abatement[x]	All Period.start data elements should have valid year > 1900	$this is Period and Period.start.exists() implies $this.start.toString() >= '1900'
uds-plus-diag-6b	error	Condition.abatement[x]	All Period.start data elements should have valid year < 2030	$this is Period and Period.start.exists() implies $this.start.toString() <= '2030'
uds-plus-diag-7	error	Condition.abatement[x]	All Period.emd data elements should be truncated to a year only for de-identified resources.	$this is Period and Period.end.exists() implies $this.end.toString().length() = 4
uds-plus-diag-7a	error	Condition.abatement[x]	All Period.start data elements should have valid year > 1900	$this is Period and Period.end.exists() implies $this.end.toString() >= '1900'
uds-plus-diag-7b	error	Condition.abatement[x]	All Period.start data elements should have valid year < 2030	$this is Period and Period.end.exists() implies $this.end.toString() <= '2030'
uds-plus-diag-8	error	Condition.recordedDate	All dateTime data elements should be truncated to a year only for de-identified resources.	$this.toString().length() = 4
uds-plus-diag-8a	error	Condition.recordedDate	All dateTime data elements should have valid year > 1900	$this is DateTime implies $this.toString() >= '1900'
uds-plus-diag-8b	error	Condition.recordedDate	All dateTime data elements should have valid year < 2030	$this is DateTime implies $this.toString() <= '2030'

This structure is derived from Condition

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition		0..*	Condition	De-Identified UDS Plus Diagnosis
Condition.id	S This element must be supported.	0..1	id	The de-identified Condition identifier created by the health center to send data to UDS+ Data Receiver
Condition.text		0..0		Cannot include any text in the resource as part of the de-identified data.
Condition.contained		0..0		Cannot include any contained resources in the resource as part of the de-identified data.
Condition.Slices for extension				Content/Rules for all slices
Condition.Slices for extension.extension:uds-plus-age-extension	S This element must be supported.	0..1	Quantity	Age of the Patient computed using birthDate. URL: http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-age-extension
Condition.Slices for extension.extension:assertedDate	S This element must be supported. C	0..1	dateTime	Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate Constraints: uds-plus-diag-1, uds-plus-diag-1a, uds-plus-diag-1b
Condition.clinicalStatus	S This element must be supported.	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved
Condition.verificationStatus	S This element must be supported.	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Condition.category	S This element must be supported.	1..1	CodeableConcept	problem-list-item | encounter-diagnosis
Condition.code	S This element must be supported.	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: US Core Condition Codes (extensible): The set of codes indicating the diagnosis
Condition.subject	S This element must be supported.	1..1	Reference(De-Identified UDS Plus Patient)	Who has the condition?
Condition.subject.display		0..0		Text alternative for the resource
Condition.encounter	S This element must be supported.	0..1	Reference(De-Identified UDS Plus Encounter)	Encounter created as part of
Condition.encounter.display		0..0		Text alternative for the resource
Condition.onset[x]	S This element must be supported. C	0..1		Estimated or actual date, date-time, or age Constraints: uds-plus-diag-2, uds-plus-diag-2a, uds-plus-diag-2b, uds-plus-diag-3, uds-plus-diag-3a, uds-plus-diag-3b, uds-plus-diag-4, uds-plus-diag-4a, uds-plus-diag-4b
Condition.onset[x].onsetDateTime			dateTime S This target must be supported.
Condition.onset[x].onsetPeriod			Period
Condition.abatement[x]	S This element must be supported. C	0..1		When in resolution/remission Constraints: uds-plus-diag-5, uds-plus-diag-5a, uds-plus-diag-5b, uds-plus-diag-6, uds-plus-diag-6a, uds-plus-diag-6b, uds-plus-diag-7, uds-plus-diag-7a, uds-plus-diag-7b
Condition.abatement[x].abatementDateTime			dateTime
Condition.abatement[x].abatementPeriod			Period
Condition.recordedDate	S This element must be supported. C	0..1	dateTime	Date record was first recorded Constraints: uds-plus-diag-8, uds-plus-diag-8a, uds-plus-diag-8b
Condition.recorder
Condition.recorder.display		0..0		Text alternative for the resource
Condition.asserter
Condition.asserter.display		0..0		Text alternative for the resource
Condition.note		0..0		Additional information about the Condition
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Condition.code	Base	extensible	US Core Condition Codes	📦6.1.0	US Core v6.1

Constraints

Id	Grade	Path(s)	Description	Expression
uds-plus-diag-1	error	Condition.extension:assertedDate	All dateTime data elements should be truncated to a year only for de-identified resources.	$this.value.ofType(dateTime) implies $this.value.ofType(dateTime).toString().length() = 4
uds-plus-diag-1a	error	Condition.extension:assertedDate	All dateTime data elements should have valid year > 1900	$this.value.ofType(dateTime) implies $this.value.ofType(dateTime).toString() >= '1900'
uds-plus-diag-1b	error	Condition.extension:assertedDate	All dateTime data elements should have valid year < 2030	$this.value.ofType(dateTime) implies $this.value.ofType(dateTime).toString() <= '2030'
uds-plus-diag-2	error	Condition.onset[x]	All dateTime data elements should be truncated to a year only for de-identified resources.	$this is DateTime implies $this.toString().length() = 4
uds-plus-diag-2a	error	Condition.onset[x]	All dateTime data elements should have valid year > 1900	$this is DateTime implies $this.toString() >= '1900'
uds-plus-diag-2b	error	Condition.onset[x]	All dateTime data elements should have valid year < 2030	$this is DateTime implies $this.toString() <= '2030'
uds-plus-diag-3	error	Condition.onset[x]	All Period.start data elements should be truncated to a year only for de-identified resources.	$this is Period and Period.start.exists() implies $this.start.toString().length() = 4
uds-plus-diag-3a	error	Condition.onset[x]	All Period.start data elements should have valid year > 1900	$this is Period and Period.start.exists() implies $this.start.toString() >= '1900'
uds-plus-diag-3b	error	Condition.onset[x]	All Period.start data elements should have valid year < 2030	$this is Period and Period.start.exists() implies $this.start.toString() <= '2030'
uds-plus-diag-4	error	Condition.onset[x]	All Period.emd data elements should be truncated to a year only for de-identified resources.	$this is Period and Period.end.exists() implies $this.end.toString().length() = 4
uds-plus-diag-4a	error	Condition.onset[x]	All Period.start data elements should have valid year > 1900	$this is Period and Period.end.exists() implies $this.end.toString() >= '1900'
uds-plus-diag-4b	error	Condition.onset[x]	All Period.start data elements should have valid year < 2030	$this is Period and Period.end.exists() implies $this.end.toString() <= '2030'
uds-plus-diag-5	error	Condition.abatement[x]	All dateTime data elements should be truncated to a year only for de-identified resources.	$this is DateTime implies $this.toString().length() = 4
uds-plus-diag-5a	error	Condition.abatement[x]	All dateTime data elements should have valid year > 1900	$this is DateTime implies $this.toString() >= '1900'
uds-plus-diag-5b	error	Condition.abatement[x]	All dateTime data elements should have valid year < 2030	$this is DateTime implies $this.toString() <= '2030'
uds-plus-diag-6	error	Condition.abatement[x]	All Period.start data elements should be truncated to a year only for de-identified resources.	$this is Period and Period.start.exists() implies $this.start.toString().length() = 4
uds-plus-diag-6a	error	Condition.abatement[x]	All Period.start data elements should have valid year > 1900	$this is Period and Period.start.exists() implies $this.start.toString() >= '1900'
uds-plus-diag-6b	error	Condition.abatement[x]	All Period.start data elements should have valid year < 2030	$this is Period and Period.start.exists() implies $this.start.toString() <= '2030'
uds-plus-diag-7	error	Condition.abatement[x]	All Period.emd data elements should be truncated to a year only for de-identified resources.	$this is Period and Period.end.exists() implies $this.end.toString().length() = 4
uds-plus-diag-7a	error	Condition.abatement[x]	All Period.start data elements should have valid year > 1900	$this is Period and Period.end.exists() implies $this.end.toString() >= '1900'
uds-plus-diag-7b	error	Condition.abatement[x]	All Period.start data elements should have valid year < 2030	$this is Period and Period.end.exists() implies $this.end.toString() <= '2030'
uds-plus-diag-8	error	Condition.recordedDate	All dateTime data elements should be truncated to a year only for de-identified resources.	$this.toString().length() = 4
uds-plus-diag-8a	error	Condition.recordedDate	All dateTime data elements should have valid year > 1900	$this is DateTime implies $this.toString() >= '1900'
uds-plus-diag-8b	error	Condition.recordedDate	All dateTime data elements should have valid year < 2030	$this is DateTime implies $this.toString() <= '2030'

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	Condition	De-Identified UDS Plus Diagnosis Constraints: con-3, con-4, con-5
Condition.id	S This element must be supported. Σ This element is included in summaries.	0..1	id	The de-identified Condition identifier created by the health center to send data to UDS+ Data Receiver
Condition.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Condition.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Condition.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Condition.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Condition.Slices for extension.extension:uds-plus-age-extension	S This element must be supported.	0..1	Quantity	Age of the Patient computed using birthDate. URL: http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-age-extension
Condition.Slices for extension.extension:assertedDate	S This element must be supported. C	0..1	dateTime	Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate Constraints: uds-plus-diag-1, uds-plus-diag-1a, uds-plus-diag-1b
Condition.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Condition.identifier	Σ This element is included in summaries.	0..*	Identifier	External Ids for this condition
Condition.clinicalStatus	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries. C	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
Condition.verificationStatus	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries. C	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
Condition.category	S This element must be supported.	1..1	CodeableConcept	problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
Condition.severity		0..1	CodeableConcept	Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
Condition.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: US Core Condition Codes (extensible): The set of codes indicating the diagnosis
Condition.bodySite	Σ This element is included in summaries.	0..*	CodeableConcept	Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Condition.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(De-Identified UDS Plus Patient)	Who has the condition?
Condition.subject.id		0..1	string	Unique id for inter-element referencing
Condition.subject.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Condition.subject.reference	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
Condition.subject.type	Σ This element is included in summaries.	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
Condition.subject.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
Condition.encounter	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(De-Identified UDS Plus Encounter)	Encounter created as part of
Condition.encounter.id		0..1	string	Unique id for inter-element referencing
Condition.encounter.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Condition.encounter.reference	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
Condition.encounter.type	Σ This element is included in summaries.	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
Condition.encounter.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
Condition.onset[x]	S This element must be supported. Σ This element is included in summaries. C	0..1		Estimated or actual date, date-time, or age Constraints: uds-plus-diag-2, uds-plus-diag-2a, uds-plus-diag-2b, uds-plus-diag-3, uds-plus-diag-3a, uds-plus-diag-3b, uds-plus-diag-4, uds-plus-diag-4a, uds-plus-diag-4b
Condition.onset[x].onsetDateTime			dateTime S This target must be supported.
Condition.onset[x].onsetPeriod			Period
Condition.abatement[x]	S This element must be supported. C	0..1		When in resolution/remission Constraints: uds-plus-diag-5, uds-plus-diag-5a, uds-plus-diag-5b, uds-plus-diag-6, uds-plus-diag-6a, uds-plus-diag-6b, uds-plus-diag-7, uds-plus-diag-7a, uds-plus-diag-7b
Condition.abatement[x].abatementDateTime			dateTime
Condition.abatement[x].abatementPeriod			Period
Condition.recordedDate	S This element must be supported. Σ This element is included in summaries. C	0..1	dateTime	Date record was first recorded Constraints: uds-plus-diag-8, uds-plus-diag-8a, uds-plus-diag-8b
Condition.recorder	Σ This element is included in summaries.	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition
Condition.recorder.id		0..1	string	Unique id for inter-element referencing
Condition.recorder.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Condition.recorder.reference	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
Condition.recorder.type	Σ This element is included in summaries.	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
Condition.recorder.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
Condition.asserter	Σ This element is included in summaries.	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Person who asserts this condition
Condition.asserter.id		0..1	string	Unique id for inter-element referencing
Condition.asserter.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Condition.asserter.reference	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
Condition.asserter.type	Σ This element is included in summaries.	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
Condition.asserter.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
Condition.stage	C	0..*	BackboneElement	Stage/grade, usually assessed formally Constraints: con-1
Condition.stage.id		0..1	string	Unique id for inter-element referencing
Condition.stage.extension		0..*	Extension	Additional content defined by implementations
Condition.stage.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Condition.stage.summary	C	0..1	CodeableConcept	Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
Condition.stage.assessment	C	0..*	Reference(ClinicalImpression | DiagnosticReport | Observation)	Formal record of assessment
Condition.stage.type		0..1	CodeableConcept	Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
Condition.evidence	C	0..*	BackboneElement	Supporting evidence Constraints: con-2
Condition.evidence.id		0..1	string	Unique id for inter-element referencing
Condition.evidence.extension		0..*	Extension	Additional content defined by implementations
Condition.evidence.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Condition.evidence.code	Σ This element is included in summaries. C	0..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
Condition.evidence.detail	Σ This element is included in summaries. C	0..*	Reference(Resource)	Supporting information found elsewhere
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Condition.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Condition.clinicalStatus	Base	required	Condition Clinical Status Codes	📍4.0.1	FHIR Std.
Condition.verificationStatus	Base	required	ConditionVerificationStatus	📍4.0.1	FHIR Std.
Condition.category	Base	extensible	Condition Category Codes	📍4.0.1	FHIR Std.
Condition.severity	Base	preferred	Condition/Diagnosis Severity	📍4.0.1	FHIR Std.
Condition.code	Base	extensible	US Core Condition Codes	📦6.1.0	US Core v6.1
Condition.bodySite	Base	example	SNOMED CT Body Structures	📍4.0.1	FHIR Std.
Condition.subject.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Condition.encounter.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Condition.recorder.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Condition.asserter.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Condition.stage.summary	Base	example	Condition Stage	📍4.0.1	FHIR Std.
Condition.stage.type	Base	example	Condition Stage Type	📍4.0.1	FHIR Std.
Condition.evidence.code	Base	example	Manifestation and Symptom Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
con-1	error	Condition.stage	Stage SHALL have summary or assessment	summary.exists() or assessment.exists()
con-2	error	Condition.evidence	evidence SHALL have code or details	code.exists() or detail.exists()
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item	clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission	abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error	verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Condition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Condition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
uds-plus-diag-1	error	Condition.extension:assertedDate	All dateTime data elements should be truncated to a year only for de-identified resources.	$this.value.ofType(dateTime) implies $this.value.ofType(dateTime).toString().length() = 4
uds-plus-diag-1a	error	Condition.extension:assertedDate	All dateTime data elements should have valid year > 1900	$this.value.ofType(dateTime) implies $this.value.ofType(dateTime).toString() >= '1900'
uds-plus-diag-1b	error	Condition.extension:assertedDate	All dateTime data elements should have valid year < 2030	$this.value.ofType(dateTime) implies $this.value.ofType(dateTime).toString() <= '2030'
uds-plus-diag-2	error	Condition.onset[x]	All dateTime data elements should be truncated to a year only for de-identified resources.	$this is DateTime implies $this.toString().length() = 4
uds-plus-diag-2a	error	Condition.onset[x]	All dateTime data elements should have valid year > 1900	$this is DateTime implies $this.toString() >= '1900'
uds-plus-diag-2b	error	Condition.onset[x]	All dateTime data elements should have valid year < 2030	$this is DateTime implies $this.toString() <= '2030'
uds-plus-diag-3	error	Condition.onset[x]	All Period.start data elements should be truncated to a year only for de-identified resources.	$this is Period and Period.start.exists() implies $this.start.toString().length() = 4
uds-plus-diag-3a	error	Condition.onset[x]	All Period.start data elements should have valid year > 1900	$this is Period and Period.start.exists() implies $this.start.toString() >= '1900'
uds-plus-diag-3b	error	Condition.onset[x]	All Period.start data elements should have valid year < 2030	$this is Period and Period.start.exists() implies $this.start.toString() <= '2030'
uds-plus-diag-4	error	Condition.onset[x]	All Period.emd data elements should be truncated to a year only for de-identified resources.	$this is Period and Period.end.exists() implies $this.end.toString().length() = 4
uds-plus-diag-4a	error	Condition.onset[x]	All Period.start data elements should have valid year > 1900	$this is Period and Period.end.exists() implies $this.end.toString() >= '1900'
uds-plus-diag-4b	error	Condition.onset[x]	All Period.start data elements should have valid year < 2030	$this is Period and Period.end.exists() implies $this.end.toString() <= '2030'
uds-plus-diag-5	error	Condition.abatement[x]	All dateTime data elements should be truncated to a year only for de-identified resources.	$this is DateTime implies $this.toString().length() = 4
uds-plus-diag-5a	error	Condition.abatement[x]	All dateTime data elements should have valid year > 1900	$this is DateTime implies $this.toString() >= '1900'
uds-plus-diag-5b	error	Condition.abatement[x]	All dateTime data elements should have valid year < 2030	$this is DateTime implies $this.toString() <= '2030'
uds-plus-diag-6	error	Condition.abatement[x]	All Period.start data elements should be truncated to a year only for de-identified resources.	$this is Period and Period.start.exists() implies $this.start.toString().length() = 4
uds-plus-diag-6a	error	Condition.abatement[x]	All Period.start data elements should have valid year > 1900	$this is Period and Period.start.exists() implies $this.start.toString() >= '1900'
uds-plus-diag-6b	error	Condition.abatement[x]	All Period.start data elements should have valid year < 2030	$this is Period and Period.start.exists() implies $this.start.toString() <= '2030'
uds-plus-diag-7	error	Condition.abatement[x]	All Period.emd data elements should be truncated to a year only for de-identified resources.	$this is Period and Period.end.exists() implies $this.end.toString().length() = 4
uds-plus-diag-7a	error	Condition.abatement[x]	All Period.start data elements should have valid year > 1900	$this is Period and Period.end.exists() implies $this.end.toString() >= '1900'
uds-plus-diag-7b	error	Condition.abatement[x]	All Period.start data elements should have valid year < 2030	$this is Period and Period.end.exists() implies $this.end.toString() <= '2030'
uds-plus-diag-8	error	Condition.recordedDate	All dateTime data elements should be truncated to a year only for de-identified resources.	$this.toString().length() = 4
uds-plus-diag-8a	error	Condition.recordedDate	All dateTime data elements should have valid year > 1900	$this is DateTime implies $this.toString() >= '1900'
uds-plus-diag-8b	error	Condition.recordedDate	All dateTime data elements should have valid year < 2030	$this is DateTime implies $this.toString() <= '2030'

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	Condition	De-Identified UDS Plus Diagnosis Constraints: con-3, con-4, con-5
Condition.id	S This element must be supported. Σ This element is included in summaries.	0..1	id	The de-identified Condition identifier created by the health center to send data to UDS+ Data Receiver
Condition.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Condition.Slices for extension				Content/Rules for all slices
Condition.Slices for extension.extension:uds-plus-age-extension	S This element must be supported.	0..1	Quantity	Age of the Patient computed using birthDate. URL: http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-age-extension
Condition.Slices for extension.extension:assertedDate	S This element must be supported. C	0..1	dateTime	Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate Constraints: uds-plus-diag-1, uds-plus-diag-1a, uds-plus-diag-1b
Condition.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Condition.clinicalStatus	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries. C	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
Condition.verificationStatus	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries. C	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
Condition.category	S This element must be supported.	1..1	CodeableConcept	problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
Condition.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: US Core Condition Codes (extensible): The set of codes indicating the diagnosis
Condition.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(De-Identified UDS Plus Patient)	Who has the condition?
Condition.encounter	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(De-Identified UDS Plus Encounter)	Encounter created as part of
Condition.onset[x]	S This element must be supported. Σ This element is included in summaries. C	0..1		Estimated or actual date, date-time, or age Constraints: uds-plus-diag-2, uds-plus-diag-2a, uds-plus-diag-2b, uds-plus-diag-3, uds-plus-diag-3a, uds-plus-diag-3b, uds-plus-diag-4, uds-plus-diag-4a, uds-plus-diag-4b
Condition.onset[x].onsetDateTime			dateTime S This target must be supported.
Condition.onset[x].onsetPeriod			Period
Condition.abatement[x]	S This element must be supported. C	0..1		When in resolution/remission Constraints: uds-plus-diag-5, uds-plus-diag-5a, uds-plus-diag-5b, uds-plus-diag-6, uds-plus-diag-6a, uds-plus-diag-6b, uds-plus-diag-7, uds-plus-diag-7a, uds-plus-diag-7b
Condition.abatement[x].abatementDateTime			dateTime
Condition.abatement[x].abatementPeriod			Period
Condition.recordedDate	S This element must be supported. Σ This element is included in summaries. C	0..1	dateTime	Date record was first recorded Constraints: uds-plus-diag-8, uds-plus-diag-8a, uds-plus-diag-8b
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Condition.clinicalStatus	Base	required	Condition Clinical Status Codes	📍4.0.1	FHIR Std.
Condition.verificationStatus	Base	required	ConditionVerificationStatus	📍4.0.1	FHIR Std.
Condition.category	Base	extensible	Condition Category Codes	📍4.0.1	FHIR Std.
Condition.code	Base	extensible	US Core Condition Codes	📦6.1.0	US Core v6.1

Constraints

Id	Grade	Path(s)	Description	Expression
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item	clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission	abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error	verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Condition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Condition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
uds-plus-diag-1	error	Condition.extension:assertedDate	All dateTime data elements should be truncated to a year only for de-identified resources.	$this.value.ofType(dateTime) implies $this.value.ofType(dateTime).toString().length() = 4
uds-plus-diag-1a	error	Condition.extension:assertedDate	All dateTime data elements should have valid year > 1900	$this.value.ofType(dateTime) implies $this.value.ofType(dateTime).toString() >= '1900'
uds-plus-diag-1b	error	Condition.extension:assertedDate	All dateTime data elements should have valid year < 2030	$this.value.ofType(dateTime) implies $this.value.ofType(dateTime).toString() <= '2030'
uds-plus-diag-2	error	Condition.onset[x]	All dateTime data elements should be truncated to a year only for de-identified resources.	$this is DateTime implies $this.toString().length() = 4
uds-plus-diag-2a	error	Condition.onset[x]	All dateTime data elements should have valid year > 1900	$this is DateTime implies $this.toString() >= '1900'
uds-plus-diag-2b	error	Condition.onset[x]	All dateTime data elements should have valid year < 2030	$this is DateTime implies $this.toString() <= '2030'
uds-plus-diag-3	error	Condition.onset[x]	All Period.start data elements should be truncated to a year only for de-identified resources.	$this is Period and Period.start.exists() implies $this.start.toString().length() = 4
uds-plus-diag-3a	error	Condition.onset[x]	All Period.start data elements should have valid year > 1900	$this is Period and Period.start.exists() implies $this.start.toString() >= '1900'
uds-plus-diag-3b	error	Condition.onset[x]	All Period.start data elements should have valid year < 2030	$this is Period and Period.start.exists() implies $this.start.toString() <= '2030'
uds-plus-diag-4	error	Condition.onset[x]	All Period.emd data elements should be truncated to a year only for de-identified resources.	$this is Period and Period.end.exists() implies $this.end.toString().length() = 4
uds-plus-diag-4a	error	Condition.onset[x]	All Period.start data elements should have valid year > 1900	$this is Period and Period.end.exists() implies $this.end.toString() >= '1900'
uds-plus-diag-4b	error	Condition.onset[x]	All Period.start data elements should have valid year < 2030	$this is Period and Period.end.exists() implies $this.end.toString() <= '2030'
uds-plus-diag-5	error	Condition.abatement[x]	All dateTime data elements should be truncated to a year only for de-identified resources.	$this is DateTime implies $this.toString().length() = 4
uds-plus-diag-5a	error	Condition.abatement[x]	All dateTime data elements should have valid year > 1900	$this is DateTime implies $this.toString() >= '1900'
uds-plus-diag-5b	error	Condition.abatement[x]	All dateTime data elements should have valid year < 2030	$this is DateTime implies $this.toString() <= '2030'
uds-plus-diag-6	error	Condition.abatement[x]	All Period.start data elements should be truncated to a year only for de-identified resources.	$this is Period and Period.start.exists() implies $this.start.toString().length() = 4
uds-plus-diag-6a	error	Condition.abatement[x]	All Period.start data elements should have valid year > 1900	$this is Period and Period.start.exists() implies $this.start.toString() >= '1900'
uds-plus-diag-6b	error	Condition.abatement[x]	All Period.start data elements should have valid year < 2030	$this is Period and Period.start.exists() implies $this.start.toString() <= '2030'
uds-plus-diag-7	error	Condition.abatement[x]	All Period.emd data elements should be truncated to a year only for de-identified resources.	$this is Period and Period.end.exists() implies $this.end.toString().length() = 4
uds-plus-diag-7a	error	Condition.abatement[x]	All Period.start data elements should have valid year > 1900	$this is Period and Period.end.exists() implies $this.end.toString() >= '1900'
uds-plus-diag-7b	error	Condition.abatement[x]	All Period.start data elements should have valid year < 2030	$this is Period and Period.end.exists() implies $this.end.toString() <= '2030'
uds-plus-diag-8	error	Condition.recordedDate	All dateTime data elements should be truncated to a year only for de-identified resources.	$this.toString().length() = 4
uds-plus-diag-8a	error	Condition.recordedDate	All dateTime data elements should have valid year > 1900	$this is DateTime implies $this.toString() >= '1900'
uds-plus-diag-8b	error	Condition.recordedDate	All dateTime data elements should have valid year < 2030	$this is DateTime implies $this.toString() <= '2030'

Differential View

This structure is derived from Condition

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition		0..*	Condition	De-Identified UDS Plus Diagnosis
Condition.id	S This element must be supported.	0..1	id	The de-identified Condition identifier created by the health center to send data to UDS+ Data Receiver
Condition.text		0..0		Cannot include any text in the resource as part of the de-identified data.
Condition.contained		0..0		Cannot include any contained resources in the resource as part of the de-identified data.
Condition.Slices for extension				Content/Rules for all slices
Condition.Slices for extension.extension:uds-plus-age-extension	S This element must be supported.	0..1	Quantity	Age of the Patient computed using birthDate. URL: http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-age-extension
Condition.Slices for extension.extension:assertedDate	S This element must be supported. C	0..1	dateTime	Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate Constraints: uds-plus-diag-1, uds-plus-diag-1a, uds-plus-diag-1b
Condition.clinicalStatus	S This element must be supported.	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved
Condition.verificationStatus	S This element must be supported.	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Condition.category	S This element must be supported.	1..1	CodeableConcept	problem-list-item | encounter-diagnosis
Condition.code	S This element must be supported.	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: US Core Condition Codes (extensible): The set of codes indicating the diagnosis
Condition.subject	S This element must be supported.	1..1	Reference(De-Identified UDS Plus Patient)	Who has the condition?
Condition.subject.display		0..0		Text alternative for the resource
Condition.encounter	S This element must be supported.	0..1	Reference(De-Identified UDS Plus Encounter)	Encounter created as part of
Condition.encounter.display		0..0		Text alternative for the resource
Condition.onset[x]	S This element must be supported. C	0..1		Estimated or actual date, date-time, or age Constraints: uds-plus-diag-2, uds-plus-diag-2a, uds-plus-diag-2b, uds-plus-diag-3, uds-plus-diag-3a, uds-plus-diag-3b, uds-plus-diag-4, uds-plus-diag-4a, uds-plus-diag-4b
Condition.onset[x].onsetDateTime			dateTime S This target must be supported.
Condition.onset[x].onsetPeriod			Period
Condition.abatement[x]	S This element must be supported. C	0..1		When in resolution/remission Constraints: uds-plus-diag-5, uds-plus-diag-5a, uds-plus-diag-5b, uds-plus-diag-6, uds-plus-diag-6a, uds-plus-diag-6b, uds-plus-diag-7, uds-plus-diag-7a, uds-plus-diag-7b
Condition.abatement[x].abatementDateTime			dateTime
Condition.abatement[x].abatementPeriod			Period
Condition.recordedDate	S This element must be supported. C	0..1	dateTime	Date record was first recorded Constraints: uds-plus-diag-8, uds-plus-diag-8a, uds-plus-diag-8b
Condition.recorder
Condition.recorder.display		0..0		Text alternative for the resource
Condition.asserter
Condition.asserter.display		0..0		Text alternative for the resource
Condition.note		0..0		Additional information about the Condition
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Condition.code	Base	extensible	US Core Condition Codes	📦6.1.0	US Core v6.1

Constraints

Id	Grade	Path(s)	Description	Expression
uds-plus-diag-1	error	Condition.extension:assertedDate	All dateTime data elements should be truncated to a year only for de-identified resources.	$this.value.ofType(dateTime) implies $this.value.ofType(dateTime).toString().length() = 4
uds-plus-diag-1a	error	Condition.extension:assertedDate	All dateTime data elements should have valid year > 1900	$this.value.ofType(dateTime) implies $this.value.ofType(dateTime).toString() >= '1900'
uds-plus-diag-1b	error	Condition.extension:assertedDate	All dateTime data elements should have valid year < 2030	$this.value.ofType(dateTime) implies $this.value.ofType(dateTime).toString() <= '2030'
uds-plus-diag-2	error	Condition.onset[x]	All dateTime data elements should be truncated to a year only for de-identified resources.	$this is DateTime implies $this.toString().length() = 4
uds-plus-diag-2a	error	Condition.onset[x]	All dateTime data elements should have valid year > 1900	$this is DateTime implies $this.toString() >= '1900'
uds-plus-diag-2b	error	Condition.onset[x]	All dateTime data elements should have valid year < 2030	$this is DateTime implies $this.toString() <= '2030'
uds-plus-diag-3	error	Condition.onset[x]	All Period.start data elements should be truncated to a year only for de-identified resources.	$this is Period and Period.start.exists() implies $this.start.toString().length() = 4
uds-plus-diag-3a	error	Condition.onset[x]	All Period.start data elements should have valid year > 1900	$this is Period and Period.start.exists() implies $this.start.toString() >= '1900'
uds-plus-diag-3b	error	Condition.onset[x]	All Period.start data elements should have valid year < 2030	$this is Period and Period.start.exists() implies $this.start.toString() <= '2030'
uds-plus-diag-4	error	Condition.onset[x]	All Period.emd data elements should be truncated to a year only for de-identified resources.	$this is Period and Period.end.exists() implies $this.end.toString().length() = 4
uds-plus-diag-4a	error	Condition.onset[x]	All Period.start data elements should have valid year > 1900	$this is Period and Period.end.exists() implies $this.end.toString() >= '1900'
uds-plus-diag-4b	error	Condition.onset[x]	All Period.start data elements should have valid year < 2030	$this is Period and Period.end.exists() implies $this.end.toString() <= '2030'
uds-plus-diag-5	error	Condition.abatement[x]	All dateTime data elements should be truncated to a year only for de-identified resources.	$this is DateTime implies $this.toString().length() = 4
uds-plus-diag-5a	error	Condition.abatement[x]	All dateTime data elements should have valid year > 1900	$this is DateTime implies $this.toString() >= '1900'
uds-plus-diag-5b	error	Condition.abatement[x]	All dateTime data elements should have valid year < 2030	$this is DateTime implies $this.toString() <= '2030'
uds-plus-diag-6	error	Condition.abatement[x]	All Period.start data elements should be truncated to a year only for de-identified resources.	$this is Period and Period.start.exists() implies $this.start.toString().length() = 4
uds-plus-diag-6a	error	Condition.abatement[x]	All Period.start data elements should have valid year > 1900	$this is Period and Period.start.exists() implies $this.start.toString() >= '1900'
uds-plus-diag-6b	error	Condition.abatement[x]	All Period.start data elements should have valid year < 2030	$this is Period and Period.start.exists() implies $this.start.toString() <= '2030'
uds-plus-diag-7	error	Condition.abatement[x]	All Period.emd data elements should be truncated to a year only for de-identified resources.	$this is Period and Period.end.exists() implies $this.end.toString().length() = 4
uds-plus-diag-7a	error	Condition.abatement[x]	All Period.start data elements should have valid year > 1900	$this is Period and Period.end.exists() implies $this.end.toString() >= '1900'
uds-plus-diag-7b	error	Condition.abatement[x]	All Period.start data elements should have valid year < 2030	$this is Period and Period.end.exists() implies $this.end.toString() <= '2030'
uds-plus-diag-8	error	Condition.recordedDate	All dateTime data elements should be truncated to a year only for de-identified resources.	$this.toString().length() = 4
uds-plus-diag-8a	error	Condition.recordedDate	All dateTime data elements should have valid year > 1900	$this is DateTime implies $this.toString() >= '1900'
uds-plus-diag-8b	error	Condition.recordedDate	All dateTime data elements should have valid year < 2030	$this is DateTime implies $this.toString() <= '2030'

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	Condition	De-Identified UDS Plus Diagnosis Constraints: con-3, con-4, con-5
Condition.id	S This element must be supported. Σ This element is included in summaries.	0..1	id	The de-identified Condition identifier created by the health center to send data to UDS+ Data Receiver
Condition.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Condition.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Condition.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Condition.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Condition.Slices for extension.extension:uds-plus-age-extension	S This element must be supported.	0..1	Quantity	Age of the Patient computed using birthDate. URL: http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-age-extension
Condition.Slices for extension.extension:assertedDate	S This element must be supported. C	0..1	dateTime	Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate Constraints: uds-plus-diag-1, uds-plus-diag-1a, uds-plus-diag-1b
Condition.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Condition.identifier	Σ This element is included in summaries.	0..*	Identifier	External Ids for this condition
Condition.clinicalStatus	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries. C	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
Condition.verificationStatus	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries. C	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
Condition.category	S This element must be supported.	1..1	CodeableConcept	problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
Condition.severity		0..1	CodeableConcept	Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
Condition.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: US Core Condition Codes (extensible): The set of codes indicating the diagnosis
Condition.bodySite	Σ This element is included in summaries.	0..*	CodeableConcept	Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Condition.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(De-Identified UDS Plus Patient)	Who has the condition?
Condition.subject.id		0..1	string	Unique id for inter-element referencing
Condition.subject.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Condition.subject.reference	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
Condition.subject.type	Σ This element is included in summaries.	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
Condition.subject.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
Condition.encounter	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(De-Identified UDS Plus Encounter)	Encounter created as part of
Condition.encounter.id		0..1	string	Unique id for inter-element referencing
Condition.encounter.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Condition.encounter.reference	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
Condition.encounter.type	Σ This element is included in summaries.	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
Condition.encounter.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
Condition.onset[x]	S This element must be supported. Σ This element is included in summaries. C	0..1		Estimated or actual date, date-time, or age Constraints: uds-plus-diag-2, uds-plus-diag-2a, uds-plus-diag-2b, uds-plus-diag-3, uds-plus-diag-3a, uds-plus-diag-3b, uds-plus-diag-4, uds-plus-diag-4a, uds-plus-diag-4b
Condition.onset[x].onsetDateTime			dateTime S This target must be supported.
Condition.onset[x].onsetPeriod			Period
Condition.abatement[x]	S This element must be supported. C	0..1		When in resolution/remission Constraints: uds-plus-diag-5, uds-plus-diag-5a, uds-plus-diag-5b, uds-plus-diag-6, uds-plus-diag-6a, uds-plus-diag-6b, uds-plus-diag-7, uds-plus-diag-7a, uds-plus-diag-7b
Condition.abatement[x].abatementDateTime			dateTime
Condition.abatement[x].abatementPeriod			Period
Condition.recordedDate	S This element must be supported. Σ This element is included in summaries. C	0..1	dateTime	Date record was first recorded Constraints: uds-plus-diag-8, uds-plus-diag-8a, uds-plus-diag-8b
Condition.recorder	Σ This element is included in summaries.	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition
Condition.recorder.id		0..1	string	Unique id for inter-element referencing
Condition.recorder.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Condition.recorder.reference	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
Condition.recorder.type	Σ This element is included in summaries.	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
Condition.recorder.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
Condition.asserter	Σ This element is included in summaries.	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Person who asserts this condition
Condition.asserter.id		0..1	string	Unique id for inter-element referencing
Condition.asserter.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Condition.asserter.reference	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
Condition.asserter.type	Σ This element is included in summaries.	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
Condition.asserter.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
Condition.stage	C	0..*	BackboneElement	Stage/grade, usually assessed formally Constraints: con-1
Condition.stage.id		0..1	string	Unique id for inter-element referencing
Condition.stage.extension		0..*	Extension	Additional content defined by implementations
Condition.stage.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Condition.stage.summary	C	0..1	CodeableConcept	Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
Condition.stage.assessment	C	0..*	Reference(ClinicalImpression | DiagnosticReport | Observation)	Formal record of assessment
Condition.stage.type		0..1	CodeableConcept	Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
Condition.evidence	C	0..*	BackboneElement	Supporting evidence Constraints: con-2
Condition.evidence.id		0..1	string	Unique id for inter-element referencing
Condition.evidence.extension		0..*	Extension	Additional content defined by implementations
Condition.evidence.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Condition.evidence.code	Σ This element is included in summaries. C	0..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
Condition.evidence.detail	Σ This element is included in summaries. C	0..*	Reference(Resource)	Supporting information found elsewhere
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Condition.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Condition.clinicalStatus	Base	required	Condition Clinical Status Codes	📍4.0.1	FHIR Std.
Condition.verificationStatus	Base	required	ConditionVerificationStatus	📍4.0.1	FHIR Std.
Condition.category	Base	extensible	Condition Category Codes	📍4.0.1	FHIR Std.
Condition.severity	Base	preferred	Condition/Diagnosis Severity	📍4.0.1	FHIR Std.
Condition.code	Base	extensible	US Core Condition Codes	📦6.1.0	US Core v6.1
Condition.bodySite	Base	example	SNOMED CT Body Structures	📍4.0.1	FHIR Std.
Condition.subject.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Condition.encounter.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Condition.recorder.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Condition.asserter.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Condition.stage.summary	Base	example	Condition Stage	📍4.0.1	FHIR Std.
Condition.stage.type	Base	example	Condition Stage Type	📍4.0.1	FHIR Std.
Condition.evidence.code	Base	example	Manifestation and Symptom Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
con-1	error	Condition.stage	Stage SHALL have summary or assessment	summary.exists() or assessment.exists()
con-2	error	Condition.evidence	evidence SHALL have code or details	code.exists() or detail.exists()
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item	clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission	abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error	verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Condition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Condition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
uds-plus-diag-1	error	Condition.extension:assertedDate	All dateTime data elements should be truncated to a year only for de-identified resources.	$this.value.ofType(dateTime) implies $this.value.ofType(dateTime).toString().length() = 4
uds-plus-diag-1a	error	Condition.extension:assertedDate	All dateTime data elements should have valid year > 1900	$this.value.ofType(dateTime) implies $this.value.ofType(dateTime).toString() >= '1900'
uds-plus-diag-1b	error	Condition.extension:assertedDate	All dateTime data elements should have valid year < 2030	$this.value.ofType(dateTime) implies $this.value.ofType(dateTime).toString() <= '2030'
uds-plus-diag-2	error	Condition.onset[x]	All dateTime data elements should be truncated to a year only for de-identified resources.	$this is DateTime implies $this.toString().length() = 4
uds-plus-diag-2a	error	Condition.onset[x]	All dateTime data elements should have valid year > 1900	$this is DateTime implies $this.toString() >= '1900'
uds-plus-diag-2b	error	Condition.onset[x]	All dateTime data elements should have valid year < 2030	$this is DateTime implies $this.toString() <= '2030'
uds-plus-diag-3	error	Condition.onset[x]	All Period.start data elements should be truncated to a year only for de-identified resources.	$this is Period and Period.start.exists() implies $this.start.toString().length() = 4
uds-plus-diag-3a	error	Condition.onset[x]	All Period.start data elements should have valid year > 1900	$this is Period and Period.start.exists() implies $this.start.toString() >= '1900'
uds-plus-diag-3b	error	Condition.onset[x]	All Period.start data elements should have valid year < 2030	$this is Period and Period.start.exists() implies $this.start.toString() <= '2030'
uds-plus-diag-4	error	Condition.onset[x]	All Period.emd data elements should be truncated to a year only for de-identified resources.	$this is Period and Period.end.exists() implies $this.end.toString().length() = 4
uds-plus-diag-4a	error	Condition.onset[x]	All Period.start data elements should have valid year > 1900	$this is Period and Period.end.exists() implies $this.end.toString() >= '1900'
uds-plus-diag-4b	error	Condition.onset[x]	All Period.start data elements should have valid year < 2030	$this is Period and Period.end.exists() implies $this.end.toString() <= '2030'
uds-plus-diag-5	error	Condition.abatement[x]	All dateTime data elements should be truncated to a year only for de-identified resources.	$this is DateTime implies $this.toString().length() = 4
uds-plus-diag-5a	error	Condition.abatement[x]	All dateTime data elements should have valid year > 1900	$this is DateTime implies $this.toString() >= '1900'
uds-plus-diag-5b	error	Condition.abatement[x]	All dateTime data elements should have valid year < 2030	$this is DateTime implies $this.toString() <= '2030'
uds-plus-diag-6	error	Condition.abatement[x]	All Period.start data elements should be truncated to a year only for de-identified resources.	$this is Period and Period.start.exists() implies $this.start.toString().length() = 4
uds-plus-diag-6a	error	Condition.abatement[x]	All Period.start data elements should have valid year > 1900	$this is Period and Period.start.exists() implies $this.start.toString() >= '1900'
uds-plus-diag-6b	error	Condition.abatement[x]	All Period.start data elements should have valid year < 2030	$this is Period and Period.start.exists() implies $this.start.toString() <= '2030'
uds-plus-diag-7	error	Condition.abatement[x]	All Period.emd data elements should be truncated to a year only for de-identified resources.	$this is Period and Period.end.exists() implies $this.end.toString().length() = 4
uds-plus-diag-7a	error	Condition.abatement[x]	All Period.start data elements should have valid year > 1900	$this is Period and Period.end.exists() implies $this.end.toString() >= '1900'
uds-plus-diag-7b	error	Condition.abatement[x]	All Period.start data elements should have valid year < 2030	$this is Period and Period.end.exists() implies $this.end.toString() <= '2030'
uds-plus-diag-8	error	Condition.recordedDate	All dateTime data elements should be truncated to a year only for de-identified resources.	$this.toString().length() = 4
uds-plus-diag-8a	error	Condition.recordedDate	All dateTime data elements should have valid year > 1900	$this is DateTime implies $this.toString() >= '1900'
uds-plus-diag-8b	error	Condition.recordedDate	All dateTime data elements should have valid year < 2030	$this is DateTime implies $this.toString() <= '2030'

This structure is derived from Condition

Summary

Mandatory: 3 elements
Must-Support: 12 elements
Prohibited: 7 elements

Structures

This structure refers to these other structures:

• De-Identified UDS Plus Patient (http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/de-identified-uds-plus-patient)
• De-Identified UDS Plus Encounter (http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-encounter)

Extensions

This structure refers to these extensions:

• http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-age-extension
• http://hl7.org/fhir/StructureDefinition/condition-assertedDate|4.0.1

Maturity: 2